Organization · Type 2 NPI
Wellbound of Modesto LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Modesto, CA
NPI number
1932171972
Active
Practice location
1315 10th St, Suite 100
Modesto, CA 95354-0714
Fax (209) 238-4084
Mailing address
300 Santana Row, 300
San Jose, CA 95128-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1932171972
Wellbound of Modesto LLC's National Provider Identifier is 1932171972, issued on Feb 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Modesto, CA. The record was last updated on May 15, 2024.